Experienced Liability Claims Representative II
Company | CCMSI |
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Location | Altamonte Springs, FL, USA |
Salary | $70000 – $84500 |
Type | Full-Time |
Degrees | |
Experience Level | Senior, Expert or higher |
Requirements
- 5-10 years of ML claim handling experience
- Florida adjuster’s license
- Excellent oral and written communication skills
- Strong organizational abilities
- Ability to coordinate and prioritize
- Flexibility, initiative, and ability to work with minimal supervision
- Discretion and confidentiality
- Ability to work as a team member in a rapidly changing environment
- Reliable, predictable attendance within client service hours
- Responsive to internal and external client needs
- Ability to clearly communicate verbally and/or in writing both internally and externally
Responsibilities
- Investigate and adjust multi-line liability claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision
- Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing liability claims. Negotiate any disputed bills for resolution
- Authorize and make payment of liability claims utilizing a claim payment program in accordance with industry standards and within settlement authority
- Negotiate settlements with claimants and attorneys in accordance with client’s authorization
- Assist in selection and supervision of defense attorneys
- Assess and monitor subrogation claims for resolution
- Prepare reports detailing claims, payments and reserves
- Provide reports and monitor files, as required by excess insurers
- Compliance with Service Commitments as established by team
- Delivery of quality claim service to clients
- Performs other duties as assigned
Preferred Qualifications
- Previous experience handling claims in Connecticut, Iowa, Pennsylvania, South Carolina, Tennessee, Virginia, Georgia, Maryland, and Alabama
- Expertise in managing sexual abuse and misconduct liability claims involving facility patients
- Experience in multiple jurisdictions regarding litigation matters
- Experience with municipalities, pharmacy, GL, nonprofit
- Knowledge of Florida Sovereign Immunity statute